| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,292 |
6,898 |
$310K |
| 59425 |
|
5,136 |
3,444 |
$307K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,685 |
1,682 |
$130K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,887 |
1,880 |
$124K |
| 88141 |
|
3,858 |
3,461 |
$79K |
| 76830 |
Ultrasound, transvaginal |
1,155 |
1,153 |
$76K |
| 99215 |
Prolong outpt/office vis |
444 |
443 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
1,060 |
$31K |
| 76801 |
|
291 |
278 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
262 |
262 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
153 |
153 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
184 |
107 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
207 |
201 |
$11K |
| 0500F |
|
161 |
161 |
$10K |
| 59430 |
|
137 |
127 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
132 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$3K |
| 81000 |
|
839 |
817 |
$2K |
| 3351F |
|
105 |
105 |
$2K |
| 81003 |
|
724 |
706 |
$1K |
| 59025 |
Fetal non-stress test |
47 |
13 |
$966.01 |
| 81025 |
|
81 |
81 |
$235.87 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
175 |
172 |
$179.92 |